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HomeMy WebLinkAbout12811 --`�- _ _ - —- - .- _--- ___ __ _ . __. _ - - ,, - -- _ _ ._ . �� �� - i��.�- (c �� �'--���-� !�•�t;. CITY OF DIAMOND BAR - �� ---' DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �;S E P� 1,Q 2�2 � 21660 E.Copley Drive 3uite 190 � ' (909)860-3195 Fax(909)861-3117 PRES$ �`'�' BUILDING PERMIT APPLICATION FIRMLY oJOf3SITE APPLICATION PERMIT P/C ADDRESS �� 'a'e DATE /1 �/7�1�� NUMBER f 2�3� I � � ISSUE TYPE OCC APN L T THACT DATE �- c� OWNER /.'Y� /ws��Z't�MC� ' C�,,... ,�6".�C • CONST. GRaUP o ADDRESS /� � Lr/Q ZONING SEfBACKS - � APPLICAN7/ �Ar IC��r�ul�[TELz(f 9 ..� ,Z9 flEAR RW O � SIDE/SIDE STREET RW ❑ CON7AACTOR_/�'��� �1�T��. �-L� SIDE ❑ ADDRESSJ�f�" �-+� � / � CITY��-F�lo�r. ZIP t�4 TEL eC 9eL�7 PROPOSED USE l /= � ARCH/ENG/ Q+����J DESIGNER NO.DWEL N0. NO. = CDDflESS ZIP 7EL UNRS STORIES BEOROOMS � �n DESCRIPTION 5�.FG FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/REM O . p I HEREBY AFF7WA UNOER VENALTY OF PERM1lRY THAi 1 M1 E%EMPT FROM iHE CONTAACia0.514 � GatdpBl•W 1p0A W C£NSEUWFORTHEFq10YY1NOREA50N�SEC.7W1.68U5WE5SIlAPROFESSIONSCODE:ANYCITYOR (� ��7 CUINTTNMp1RE0URE3AVFAMRTOCON57iiUC[7LLiER�PHOVE,OEMOL15H2ORflEP�IqANYSTRUG . 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B.�V.C.FORTMIS qE/150N� Q k� 3 U � � DATE OwNEH U . � UCENSED CONTRACTORS�ECLAFiATION � � IHEREBYAFFIWAUNDERGENALiYOFiEfUUH'/TUTIAMLIGENSE�UNDERiqOVI5lON50fCHAPTER � p. �(COYMENCNG WRH SECTION 7oro)OF OM510N 7 OF TNE BUSINESS AND PROFESSIONS LODE,AND z LL� W LICENSE IS W FUIIFORCEAND EFFECL � � UCENSE CUSS � Q [ LiC.NO. G �'lO j V DATE CONTMCTOR�/ J2 W _ � WORKERS'COMPENSATION DECIARATION � � � N IHEREBYAFFIRMUNDERGENALttOFFE0.1UitYONEOFiHEFOLLOWINGDECUMiqNS: � z � �I/U�VEAHOWILLMAMTAM�CERTIFICATEOFCONSENTTOSELFdNSUREFORYlORI(ERS' 2 � OOMPENSA710N,A9PROVIDEDBYSECTIONifODOFTFIEUBORCOOE,FORTMEPERFORMANCE �U Q OF TME WORK FOR W111C/1 TNIS PEREIR IS ISSUED. � �I HAVEMID YALL MARffMN NK%tlCERS'CD4PENSATION INSUfW7CE,�5 RE WIf1ED BV SECTqN � 17o00FTHELABORCODE,FORTIIEVEHFORUANCEOFTHEWONI(iORWMICHTH15CERMRIS � LSSUED.WWORKERy5COMPENSATIONINSUFlANCECARRIERANDPOUCYNUMB�RME: CONSTRUCTION �. CAARIER`/Q�+ ��?-� . . 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R�TENTIONFEE: : O CONSTRUCTION LENDING AGENCY PRE-AlT FEE: ���,��,��OR " � - � IMEREBVAFflRMUNDERVENALT'OFPEfYNRYTHATTMEREISACONSTRUCTIONLENDiN011GENCY �D � ' � FORTIEOERFORW.NCEOFTMEWORKFORWIIILNTIISPEWAITISISSUED(SEG1oY7,pV.C). /'�TTV�F I/IAM\/NDB!'11� L 1�-� z� ��oExswwE BLTII.DIN(* AN17 SAFETY � LEN�EfiSADDRE55 � W ICEHTIFYM�TINAVEPEADTMSAPPLIGTIIXiANOSTAlETHATTMEABOVENFORAlAT10NI5CORRELT. TOTAL FEES � � � //��� �'^� � . � IAGREET000IAPLVK7TIALLCfTI'ANOCOUNTYOPDWINCESANDSTA7EUWSPELATINOTOBUILDiNO (�J �� O� CONSiRUCfION.ANU NEREBV AUiMOWZE REV0.ESENTATryES Oi TWS COUNTY 70 EMEfl UPON iHE )C�� ABOVE-61ENTIONEDPiIOVERTYFORINSPECTIONPURPOSES. COMMENTS � � � ./14}�� � C./Ip„��r"P ' � v�rwm E NIJAE(P � � s � .[fil� � /� y bIONATUf1EOFiEflMITTEE OATE �j . , � RECPT.NO. PAID BY VALIDATION WH�TE—Department Copy,YELLAW—Finance Copy,PINK—Ae�essor Copy.GOLDENROD—File Copy,GREEN�Applicant'o Copy � � . .., . _ , ... . _ . .. , . ..... . . , .. . . . . CITY �F DIAMOND BAR ' . '-�INSPECTION RECORD -. : s � � � - • � � s - SET BACK ' i': '�� ,`�; �, � FLOOR.�QI,ST.•:;r'�• `:_�� .• �:;;.:..��:;� �•�,��� �� . , FTGS/FORMS/STEEL � _;,, '. , FHA REQMTS- - . , � _ _.. _� ELECTRIC GROUND ' �� '�� ' UNDER F6Q R J?UCT r.;_...•; : �• " GROUND PLUMBING• UNDER FLOOR CO�IDUIT ��:_'�: - '��: � SLAB GRADE � FIREFLACE FOUNDATION .. "' ``'-��"'�"� � ' . .,; _':.. . . � ,.` '. . TEMP P�WER -- FIREPLACE B BEAM - -_ ' ' WATER SERVICE- � MID HT. BOND BE7iM -•- =`' � " ��- ' ROOF SHEATHING": .'• .�:..`•.�•.:, , ,'` 8 FT.BONR:BEAM.:� .,'_ ..� ' -•;,.:,; , FRAMINGNENTILIATION FINAL BOND BEAM `` "�• ROOFCOVER'' . ` � PRE-GRADING • ROUGH HEATING -- � - BENCHING - ' � ROUGN ELECTRIC ' � ROUGH GRADING ' -ROUGH PLUMBING FINISH GRADING , . .. SHOWEHIrUB TEST POOL ELECTRlC ' EXT.LATHlSIDING � POOL FENCING WALL INSULATION � POOL FINAL CEILING INSULATION OFF SITE IMPS. ! ' DRYWALL NAILING DEDICATIONS , ' SEWER FINAL ENG. __ _ _. SEPTIC TANK _ . LANDSCAPE/IRRIG. , SEEP PITlL.L. - - ON SITE 1MPS. ' CaAS AIR TEST' , ; - - � FINAL ZONING ' fINAL COfVST.'." �. . ' •�;• . `'` •` .~ ` FIRE D�PT. �'INAL ,.... FINAL HEATING - HEALTH DEPT.FINAL FINAC ELECTRIC - DEV. FEES PAID : � , FINAL PLUMBING ENERGY '� • i�' � ��'—` " �k� .... .. _. - _ . . �. ,` . � , _. _ . _. . _... . . . .. . �- -�----- .... . ._..:a.:_::.__,_—...__. .. ---�_ ._ __ . __....._._ . ....`-.� . _. .. ..._ COh/lMENTS _ ' . � _ _ � _ - - ; ---- _ __ , _ _ , ��.:•-:.,.__ . :�,. , , �, � , __ ,- < -.,,, — , , , � :,.�,�.`� . � ,� . .. ,� -� _ -_�. ; . �\ � `` . _ . +'����,�,`t , . . ` ' SEPTIC TANK SIZE _ � � , SEEP PITlU SIZE �.n^^ ,c� . _ct;! , ,.I_;;� . 1� ... 7 f_ ?� A Z...: -.- '.- --- ' ' ... :;r _ . .r . .._..._ ... . . . . . , � �., . . .. � , . ,..f� \'t'_ � . . � • �' i . . �. - ' �1 .t'Cl ,. ,:,,.\• , "_ � ...., `. y �� l ` 1